MS. YEDDI PARK (NPI# 1013237353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013237353 |
| Entity Type | Individual |
| Full Name | MS. YEDDI PARK |
| Credential | MSW |
| Practice Address |
372 Grand Ave 7a Leonia NJ 07605-2256 |
| Practice Telephone | 2019205015 |
| Mailing Telephone | 2019205015 |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2010-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 44SL05242700 | NJ | Behavioral Health & Social Service Providers |
| Y | 1041S0200X |
Social Worker Specialization: School |
076492-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
372 GRAND AVE 7A |
| City | LEONIA |
| State | NJ |
| Zip Code | 07605-2256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215459862 | Julie J Park | Acupuncturist | 113 Kingsley Street, Apt 2f, Leoni, NJ 07605 | 2017-07-14 |
| 1669894838 | Jinha Park | Physical Therapist | 135 Fort Lee Rd Ste 104, Leonia, NJ 07605 | 2014-01-07 |
| 1881956852 | Drama for Healing, LLC | Community/Behavioral Health | 127 Christie Street, 1st Floor, Leonia, NJ 07605 | 2012-06-14 |
| 1740566058 | Jacqueline Juele-schuster | Nurse Practitioner | 471 Broad Avenue, Leonia, NJ 07605 | 2011-11-01 |
| 1083914279 | Dohyang Lee | Nurse Practitioner | 600 Grand Ave., Leonia, NJ 07605 | 2010-10-22 |
| 1912052390 | Zelick Block | Psychologist | 189 Moore Ave, Leonia, NJ 07605 | 2007-01-24 |
| 1356885875 | Joo Medical Center | Clinic/Center | 388 Broad Ave, Leonia, NJ 07605 | 2016-12-19 |
| 1942360599 | Tae Yul Choi | Dentist | 110 Broad Ave, Leonia, NJ 07605 | 2006-12-12 |
| 1124321914 | Hae Sun Lee | Acupuncturist | 536 Nordhoff Dr, Leonia, NJ 07605-1012 | 2010-12-16 |
| 1437540382 | Barry Taller | Student in an Organized Health Care Education/Training Program | 570 Nordhoff Dr, Leonia, NJ 07605-1013 | 2015-02-13 |
| Find all providers in zip 07605 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356257 | Hollis Allen Evans | Social Worker | 13 Chestnut Dr, Eastampton, NJ 08060-4316 | 2020-11-06 |
| 1710533575 | Thomas George Newman | Social Worker | 1253 Clinton Ave, Irvington, NJ 07111-2437 | 2019-08-16 |
| 1184283921 | Open Arms Therapeutic Services LLC | Social Worker | 445 Brick Blvd Ste 204, Brick, NJ 08723-6079 | 2019-06-06 |
| 1912404716 | Juli Hencoski | Social Worker | 24 Ellis Ct, Morganville, NJ 07751-2652 | 2018-04-09 |
| 1285141911 | Jersey City Community Charter School | Social Worker | 128 Danforth Ave, Jersey City, NJ 07305-2626 | 2018-01-03 |
| 1770958795 | Uriel Feldman | Social Worker | 2783 Brunswick Pike, Lawrenceville, NJ 08648-4132 | 2015-12-02 |
| 1891190419 | Courtney Elaine1989 Bach | Social Worker | 2323 Bartram Ave, Atco, NJ 08004-1702 | 2014-10-24 |
| 1265832430 | Noelle Saunders | Social Worker | 415 Richmond Ave, South Orange, NJ 07079-2135 | 2014-08-25 |
| 1861732760 | Michael Kennedy | Social Worker | 865 Memorial Pkwy, Phillipsburg, NJ 08865-2730 | 2013-03-01 |
| 1730470956 | Barbara Cid | Social Worker | 23 Matthew Ave, Carteret, NJ 07008-2843 | 2011-04-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.